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Influence of psychological variables in morbidly obese patients undergoing bariatric surgery after 24 months of evolution.

Abstract：

BACKGROUND:Bariatric surgery is considered a more effective means of achieving weight loss than non-surgical options in morbid obesity. Rates of failure or relapse range from 20 to 30%. The study aims to analyse the influence of psychological variables (self-esteem, social support, coping strategies and personality) in the maintenance of weight loss after bariatric surgery. METHODS:A cohort study was conducted involving 64 patients undergoing bariatric surgery for 24 months. At the end of the follow-up period, patients were divided into 2sub-cohorts classified as successes or failures. Success or favorable development was considered when the value of percent excess weight loss was 50 or higher. RESULTS:No statistically significant differences were observed between the 2groups in any variable studied. All patients had high self-esteem (87,3 those who failed and 88,1 those who are successful) and social support (90,2 and 90,9). Patients who succeed presented higher scores for cognitive restructuring (57,1) and were more introverted (47,1), while those who failed scored more highly in desiderative thinking (65,7) and were more prone to aggression (50,7) and neuroticism (51,7). CONCLUSIONS:High self-esteem and social support does not guarantee successful treatment. The groups differed in how they coped with obesity but the data obtained do not justify the weight evolution. In the absence of psychopathology, personality trait variability between patients is insufficient to predict the results.

journal_name

Cir Esp

journal_title

Cirugia espanola

authors

Rodríguez-Hurtado J,Ferrer-Márquez M,Fontalba-Navas A,García-Torrecillas JM,Olvera-Porcel MC

doi

10.1016/j.ciresp.2017.06.002

subject

Has Abstract

pub_date

2017-01-01 00:00:00

pages

378-384

issue

7

eissn

0009-739X

issn

1578-147X

pii

S0009-739X(17)30156-2

journal_volume

95

pub_type

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